About Above & Beyond Hospice Care
Hospice overview and quality summary
Above & Beyond Hospice Care is a for-profit hospice care provider in Monticello, IA, serving patients and families in Jones County and the surrounding area. Medicare certified since 2007, Above & Beyond Hospice Care has provided 19 years of end-of-life and palliative care to the community.
Above & Beyond Hospice Care serves an average of 30 patients per day, covering 54 ZIP codes across its service area. 46% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Above & Beyond Hospice Care has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 4 physicians are affiliated with this hospice.
When choosing hospice care in Monticello, IA, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Very Good
CMS CAHPS Hospice Star Rating
Above & Beyond Hospice Care has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Above & Beyond Hospice Care among the higher-rated hospice providers serving families in Monticello, IA.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Above & Beyond Hospice Care a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
93% of caregivers gave Above & Beyond Hospice Care a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
74% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
80% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
79% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
76% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
85% of caregivers gave Above & Beyond Hospice Care a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
88% of caregivers gave Above & Beyond Hospice Care a top rating for would recommend, above the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
100.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Above & Beyond Hospice Care's Hospice Care Index (HCI) score is 9 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
61.5% of Above & Beyond Hospice Care's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
92.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.6
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
53.1%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
12.1%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
48.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
6.1%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$12,268
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Above & Beyond Hospice Care's patient population is primarily composed of individuals with cancer (29%), followed by cardiovascular disease (21%), dementia (17%), other conditions (17%), respiratory disease (10%), stroke (7%).
Care Settings
Where hospice care is delivered
Above & Beyond Hospice Care delivers 46% of its care in patients' homes, with 44% in skilled nursing settings, 6% in assisted living settings, 3% in nursing facility settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 30 patients per day.
Patient's Home
Skilled Nursing
Assisted Living
Nursing Facility
Doctors at Above & Beyond Hospice Care
4 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Above & Beyond Hospice Care
What is the CMS rating for Above & Beyond Hospice Care?
Above & Beyond Hospice Care has a 4-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Above & Beyond Hospice Care primarily treat?
Above & Beyond Hospice Care's patient population includes cancer (29%), cardiovascular disease (21%), dementia (17%), other conditions (17%), respiratory disease (10%), stroke (7%). This reflects the hospice's experience managing these conditions.
Where does Above & Beyond Hospice Care provide care?
Above & Beyond Hospice Care provides care in patient's home (46%), skilled nursing (44%), assisted living (6%), nursing facility (3%).
How large is Above & Beyond Hospice Care?
Above & Beyond Hospice Care serves an average of 30 patients per day and covers 54 ZIP codes in its service area.
How many doctors are affiliated with Above & Beyond Hospice Care?
4 physicians are affiliated with Above & Beyond Hospice Care.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·